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Organization

DR ROBERT JACOBS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT JACOBS O.D. (PRESIDENT)
(954) 927-2020
Entity
Organization

Contact information

Practice address
599 S FEDERAL HWY, DANIA, FL 33004-4107
(954) 927-2020
(954) 927-3418
Mailing address
599 S FEDERAL HWY, DANIA, FL 33004-4107
(954) 927-2020
(954) 927-3418

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2718
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620213600
FL
Enumeration date
02/13/2007
Last updated
06/10/2008
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